Personal Financial Statement Worksheet Instructions
This file provides detailed instructions for completing the Personal Financial Statement Worksheet for minority and women business owners. It aims to assist applicants in determining their personal net worth for MWBE certification. Proper completion of this form is essential for successful certification.
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How do I fill this out?
To fill out this form, begin by collecting all necessary financial information. Next, indicate your marital status at the top of the worksheet. Finally, ensure all sections are completed accurately to avoid processing delays.

How to fill out the Personal Financial Statement Worksheet Instructions?
1
Gather all personal financial documents.
2
Complete Attachment B: Personal Financial Statement Worksheet.
3
Calculate your adjusted personal net worth.
4
Transfer the net worth figure to Attachment A: Personal Net Worth Affidavit.
5
Submit completed forms with necessary documentation.
Who needs the Personal Financial Statement Worksheet Instructions?
1
Minority business owners seeking MWBE certification.
2
Women business owners applying for business loans.
3
Individuals preparing for a business audit.
4
Applicants requiring financial verification for grant funding.
5
Businesses evaluating their owner's financial status for partnership opportunities.
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What are the instructions for submitting this form?
To submit the Personal Financial Statement Worksheet, ensure that all sections are completely filled out and signed. You can email the form to the Division of Minority and Women Business Development at mwbe@esd.ny.gov, or fax it to (518) 292-5756. If you prefer mail, send it to the New York State Empire State Development, MWBE Division, 625 Broadway, Albany, NY 12207. For timely processing, please double-check that all necessary documents are included with your submission.
What are the important dates for this form in 2024 and 2025?
Relevant dates for submitting this form in 2024 include the application deadlines for MWBE certification and any reporting deadlines for financial statements. In 2025, be aware of any new deadlines set forth by regulatory bodies. Staying updated on these dates ensures timely submissions.

What is the purpose of this form?
The purpose of the Personal Financial Statement Worksheet is to assist minority and women business owners in accurately reporting their financial situation. This documentation is crucial for obtaining MWBE certification, which can provide access to various business opportunities. Understanding personal net worth helps individuals assess their financial health and eligibility for loans and grants.

Tell me about this form and its components and fields line-by-line.

- 1. Contact Information: Includes fields for name, business phone, residence address, and residence phone.
- 2. Business Name of Applicant: Capture the full business name associated with the MWBE application.
- 3. Assets: Detailed sections for reporting different asset types at their current fair market values.
- 4. Liabilities: Fields to disclose all personal liabilities cutting into net worth calculations.
- 5. Signature: A section for the applicant's signature, date, and social security number to authenticate the document.
What happens if I fail to submit this form?
Failing to submit the Personal Financial Statement Worksheet can significantly delay your MWBE certification process. It may also result in the rejection of your application due to incomplete documentation. Ensuring timely and complete submissions is vital for certification success.
- Incomplete Application: Skipping sections can lead to application rejection.
- Delays in Processing: Incomplete submissions can result in significant delays.
- Loss of Certification Opportunities: Not completing the form accurately risks losing access to MWBE benefits.
How do I know when to use this form?

- 1. MWBE Certification Applications: Required documentation for minority and women-owned businesses seeking certification.
- 2. Loan Applications: Necessary to establish personal net worth when applying for business loans.
- 3. Grant Applications: Utilized for documenting financial status when applying for grants.
Frequently Asked Questions
What is the purpose of the Personal Financial Statement Worksheet?
This worksheet helps minority and women business owners assess their personal net worth for MWBE certification purposes.
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Yes, you can download your edited PDF directly to your device once your changes are complete.
What information do I need to fill out the Personal Financial Statement Worksheet?
You need comprehensive details about your assets, liabilities, and personal financial situation.
How do I submit the completed Personal Financial Statement?
Submit your completed form according to the instructions provided, ensuring all attachments are included.
What happens if I leave sections blank?
Leaving sections blank may lead to delays in processing your application for certification.
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